Identificação e monitoramento de usuários e profissionais de saúde com a condição pós-covid-19: síntese de evidências e recomendações

Abstract

This dissertation is in line with the Clinical Practices and Mental Health research line of the Professional Master's Degree in Health Psychology at the Federal University of Bahia. The study aimed to identify scientific and technical evidence to propose strategies for identifying and monitoring the mental health of workers with the Post-Covid-19 Condition who work in Primary Health Care (PHC). This is a study with a qualitative methodological approach, with a descriptive and exploratory design. The research was carried out in two stages: 1) development of a synthesis of scientific and technical evidence on the Post-Covid-19 Condition. 2) proposal of a newsletter, webinar and proposal for the identification and mental health monitoring of users and workers with the Post Covid-19 Condition within the scope of Primary Health Care. The results were presented in articles and derived technical products. The first article "Synthesis of scientific evidence on strategies for monitoring the Post-Covid-19 Condition in primary care" synthesized strategies for monitoring in Primary Health Care (PHC). The second article entitled "Synthesis of recommendations for organizing care for users with post-covid-19 condition in Primary Health Care" compiled technical proposals on the management of people with this clinical condition in PHC. The third article, entitled "Recommendations for the clinical management of psychological symptoms of the Post-Covid-19 Condition in primary care", aimed to identify and systematize flows for monitoring the health, including mental health, of users and health professionals. These productions resulted in a "Newsletter for the Primary Health Care Research Network of the Brazilian Association of Collective Health (Abrasco)", which aimed to inform "the place of PHC in offering care to users and health professionals with post-Covid-19 sequelae". Another technical product consisted of a web lecture promoted by Telessaúde Bahia, as an activity of permanent distance education in health, Round Table - Health of health professionals and the post-covid-19 condition: debate and necessary reflections, which presented the results of the evidence on strategies or recommendations for organizing care for users and health workers with the Post-Covid-19 Condition within the scope of PHC, raising the debate about the flow of care for Primary Health Care managers and workers. And finally, the theoretical subsidies allowed us to refine the Technical Technological Product entitled: "Guide to instructions for identifying, monitoring and referring users and health professionals with the Post Covid-19 Condition in Primary Health Care", with the aim of instrumentalizing the management of cases and the implementation of operational flows by multiprofessional teams, for users or health professionals with persistent symptoms, considering the multisystemic changes caused by the disease. This dissertation enabled the systematization of evidence, the design of flows aimed at the identification, screening and referral of cases within the scope of Primary Health Care (PHC), as well as the transfer of results to the services and management of the SUS.The methodology, which included several stages, allowed for a greater understanding of the guidelines and consensus, contributing to the adequacy of care for users and health professionals in the context of PHC, a topic that is still scarce in the literature and in the practice of health systems, especially local ones, today.